# FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOUNDATION HEALTH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386193472
- **Legal business name:** FOUNDATION HEALTH LLC
- **Authorized official:** ANTHONY G SUDUTH CPA, FHFMA, FACHE (CFO)
- **Authorized official phone:** (907) 458-3310

## Contact information

- **Practice address:** 1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701-5907
- **Practice address phone:** (907) 458-5525
- **Mailing address:** 1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701-5907
- **Mailing address phone:** (907) 458-5525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 04/14/2026